TS.. let me share you my experience.

This year, after about 2 years of almost no chronic gout attack, I got worst gout attack. Since February this year until just before ramadhan, I was walking "tempang" due to chronic gout. There are times when it attack both legs too. I have tried so many other alternative medicine. and I was on colchicine for so long. But my Uric acid level maintained around 600+.

At first I did not take allupurinol as I had bad experience few years ago, where the pain got worst and never go away for 3 months. However, this time, after nothing else work, I succumb to the specialist suggestion to start allupurinol even when under an attack. But this time allupurinol (300 mg) is coupled with colchicine and prednisolone. The specialist insist to try this since other method or medication have not work in reducing my uric acid level.

Damn.. as I feared, the swelling got worst and I was pissed with everything all the time. Pity my family, having to endure that period. I check back with the specialist, who then add arcoxia (90mg), a painkiller, to the cocktail of medicine. However, I try to avoid the arcoxia when ever possible, due to the bad side effect on the kidney.

After a couple of months, my uric acid is now below 500 and once was at 308. Pain is very much less severe, my bunion is receeding and I can exercise again although no running/jogging yet. I am continuing allupurinol (300mg) daily and colchicine and prednosolone when ever almost got an attack, and arcoxia only when the pain is too much.

Bear with the pain for now. Or if cannot bear the pain, get the Dr. to prescribe arcoxia. It will get worse before it gets better. Allupurinol will do that. It will quickly reduce our uric acid level in the body. Too bad that the body doesn't like drastic change to the uric aicd level. Spike or sudden drop will cause an attack. That's why allupurinol is not adviced to be started during an attack.

Anyhow, I will reduce/stop the allupurinol eventually as I am monitoring my uric acid level and trying to find out the best diet to maintain a gout free life.

Oh another thing, it helps me to drink soda water (half a teaspoon baking soda mix with a cup of water). It seems to allow the medicine to work better (can google baking soda and gout).

you can read more low yat forumers experience with gout here Gout experience. Good luck, I feel you man...

Uish.. why should I experiment this? What's the expected outcome? Or are you playing with me Wolves...
Since my uric acid level is now under control most of the time since on allupurinol, I don't have to take colchicine, prednosolone nor arcoxia all the time... only when I feel an attack is coming. Anyway, any takers to your experiment??